How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $72.44 | Facility | None | $26.92 | $26.92 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $70.79 | Professional | None | $26.92 | $35.48 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $17.38 Median $58.88 Typical High $58.88 | Professional | None | $17.38 | $58.88 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $47.86 Typical High $141.25 | Facility | None | $26.92 | $47.86 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $85.11 | Professional | None | $10.96 | $19.05 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $54.95 | Professional | None | $48.98 | $52.48 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $81.28 Typical High $123.03 | Facility | None | $40.74 | $81.28 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $41.69 Typical High $158.49 | Professional | None | $20.42 | $41.69 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $36.31 Median $52.48 Typical High $77.62 | Professional | None | $36.31 | $52.48 | $77.62 |
Oscar Health Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $87.10 | Professional | None | $39.81 | $50.12 | $87.10 |
United Setting Professional Modifier None Typical Low $13.49 Median $24.55 Typical High $87.10 | Professional | None | $13.49 | $24.55 | $87.10 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.49 Median $15.85 Typical High $19.50 | Professional | 52 · Reduced service | $13.49 | $15.85 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.31 Typical High $7.76 | Professional | 53 · Discontinued | $5.37 | $6.31 | $7.76 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 43rd of 51
$33.11
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.